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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 762-765
en Inglés | IMEMR | ID: emr-192590

RESUMEN

Background: Abnormal uterine bleeding [AUB] affects as many as one-third of reproductive-aged women. Women with AUB may experience pain, embarrassment and inconvenience that can have a significant impact on their lives. This study was carried out aiming to assess the pattern and possible causes of abnormal uterine bleeding in reproductive aged women in Arar city, Northern Saudi Arabia


Methods: The study was conducted at Maternal and Child Hospital of Arar City, during the period from 1/5/2017 to 30/7/2017. Data collected by personal interview with cases and filling a pre-designed online questionnaire. Collected data was coded and analyzed using statistical package for the social sciences [SPSS, version 16]. Descriptive statistics for the quantitative and qualitative variables were used


Results: In our study 100 women were included, with mean age 30.5+/-6.9, mean age of menarche was 13.1 [+/-1.8] and 52% of them had regular menses. Pattern of bleeding was menorrhagia in 52%. The cause of bleeding was dysfunctional uterine bleeding in 59% of cases, Intrauterine device complications in14%, Uterine fibroid in 12% of cases and contraceptive pills complications in 15%. Only 13% of them treated surgically while 87.0% treated medically


Conclusion: The most common cause of abnormal uterine bleeding was endometrial hyperplasia [in 59%], and the contraceptive pills complications comes in the second place [in 15%], then the Intrauterine device complications [in 14%] and the uterine fibroid [in 12%]. Health education sittings is recommended to increase the public awareness about the causes and importance of seeking medical care during AUB attacks specially in premenopausal period

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (10): 1834-1841
en Inglés | IMEMR | ID: emr-192723

RESUMEN

Background: Thyroid hormone acts as a vital factor of development and growth, and in adults plays a critical part in the regulation of the function and metabolism of virtually every organ system


Study objective: The objective of this study was to identify the pattern of hypothyroidism and hyperthyroidism in Arar, Northern Saudi Arabia and some related socio-demographic determinants


Methodology: A cross-sectional study was conducted in Arar, Northern Saudi Arabia. A multistage stratified random sampling technique was used. A pre-designed online questionnaire was distributed among the targeted population and filled by participants after a brief introduction or explanation of the idea of the research to the public. Sampled participants filled out the self-reported predesigned questionnaire to collect socioeconomic and thyroid diseases related data


Results: The study included 160 participants. The total prevalence of thyroid diseases was 36[22.5%]. Of the 36 reported cases of thyroid diseases, 11[30.5%] were reported as having hyperthyroidism and 25[69.5%] were having hypothyroidism. Of the 11 patients with hyperthyroidism9 [81.8%] were males and 2[18.2%] were females. Of the 25 patients with hypothyroidism, 4[16.0%] were males and 21[84.0%] were females


Conclusion: Hypothyroidism is the prevalent form of thyroid diseases in Arar, Northern Saudi Arabia, females: male ratio was about 1:5. Knowledge of various factors influencing thyroid dysfunction can help the public to guard against these prevalent diseases. More studies should be carried out in Arar city to stress on the individual thyroid disorder. The studies should be community based with clinical and laboratory diagnosis of cases

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (10): 5416-5420
en Inglés | IMEMR | ID: emr-200011

RESUMEN

Background: chronic calculous cholecystitis is an inflammatory disease which affects the gallbladder wall and causes motoric-tonic dysfunctions of the biliary system accompanied by gallstones in the lumen of the gallbladder and biliary pain. Among aging study groups, the prevalence of gallstone disease is likely to increase


Aim of the Work: to determine the prevalence and determinant factors of chronic calculous cholecystitis among senile population in Arar, KSA


Patients and Methods: the present cross sectional community based study was conducted in Arar city, Northern Border Province, KSA on 217 adult people aged 50 years and more. Data were collected through personal interviews with the study population and filling the questionnaire which guided us to the data of socio-demographic status, smoking, chronic diseases, already previously diagnosed with chronic calculous cholecystitis, after ensuring the diagnosis by reviewing the accompanied health reports and/or prescriptions and asking the accompanied caregivers about the case


Results: the mean age of the participants [+/- SD] was 69.9 [+/- 9.3] years; male to female ratio was 43.8 to 56.2. The overall prevalence rate of chronic calculus cholecystitis found in this study was 6.9%. There was a relationship between chronic calculus cholecystitis and age group, sex, DM, BMI group, Thyroid disease and Hypertension. The prevalence of chronic calculus cholecystitis was more in females compared to males [9.0% vs. 4.2%]


Conclusion: female gender, diabetes and obesity are significantly associated factors in the development of gallstones. Thus, understanding the gallstones pathogenesis would result in life style modifications and weight loss which would decrease the rates of the disease

4.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (2): 5970-5975
en Inglés | IMEMR | ID: emr-200087

RESUMEN

Background: poisoning is a major problem in the pediatric and adolescents population. Poisoning is a main reason for children's admission to emergency units. Medications are the most common poisonous agent in children. Objective: to describe the, futures, and the outcome of treatment of poisoned children admitted to emergency units in different areas of Saudi Arabia


Patients and Methods: in this study, analysis of a retrospective data was done. Data were collected from mothers from different cities in KSA, during the period from 1st January to 31 March 2018. Cases of childhood or adolescents poisoning that were experienced by those mothers within the period were included. A structured close-ended online questionnaire was distributed to collect the relevant data


Results: the study included 96 cases. More than third [35.4%] of children aged 4-8 years, < 4 years constituted 24.0% and adolescents were 19.8%. Males were more than females [57.3% vs. 42.7%]. Mode of poisoning was accidental in 91.8% and intended in 5.2%. As regards mood of administration of poisoned substance, 86. 5% were by ingestion, 7.3% by inhalation and 6.2% by contact of eyes or skin. The type of poison was spoiled food in 55.2%, cleaning compounds, such as chlorine and others in 12.5%, drugs in 7.3%, insecticide in 6.2%, poisonous herbs in 4.2%, narcotic substance in 1% and other substances in13.5%. Symptoms of poisoning was severe diarrhea ,vomiting and excessive sweating by the same percent 31.2%, severe abdominal pain in 14.6%, breathing difficulties in 13.5%, redness of the eyes in 12.5%, fainting in 8.35 and convulsions in 2.1%. As regards outcome of treatment, 93.8% of the cases were improved and cured completely and the overall mortality rate was 3.1%


Conclusion: Accidental childhood and adolescents poisoning in KSA is just like in many other regions. there is thus, the need for public awareness on the proper storage of harmful materials and the need for immediate hospitalization if accidental ingestion occurs. We strongly recommended for regulatory policies on safe keeping drugs to reduce the morbidity and mortality associated with accidental poisoning

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